<p> REPUBLIC OF THE PHILIPPINES PHILIPPINE STATISTICS AUTHORITY</p><p>REQUEST FOR QUOTATION</p><p>The Philippine Statistics Authority (PSA) through its Bids and Awards Committee (BAC) will undertake alternative mode of procurement, shopping for IT Equipment and Accessories</p><p>Name of Project IT Equipment and Accessories Solicitation PR No. 16-09-1652 Location Quezon City Brief Description Quantity Approved Budget for the Contract (ABC) ₱ 375,150.00 Contract Duration</p><p>Please quote your lowest price on the item/s listed below and submit personally your SEALED QUOTATION not later than 5:00 pm on October 20, 2016 at the General Services Division, 11th Flr., Cyberpod One Enton Centris, Diliman, Quezon City.</p><p>______BAC Chairperson</p><p>Terms and Conditions:</p><p>1. Only the suppliers registered at the Philippine Government Electronic Procurement System (PhilGEPS) shall be allowed to submit the quotation. 2. All entries must be typewritten/printed legibly in the Bid Form. Failure to use this form will result to disqualification of your bid. 3. Late submission of quotation shall not be accepted. 4. Bids exceeding the ABC shall be disqualified. 5. The Lowest bidder shall be informed immediately and shall be asked to submit additional requirements within three days after the opening of bids or during post qualification. 6. Award of contract shall be made to the lowest quotation, and complies with the specifications and other terms and conditions as stated in the RFQ. 7. Terms of Payment shall be made through check payable to the supplier. 8. The PSA reserves the right to reject any or all bid proposals, or declares the bidding a failure, or not to award the contract, and makes no assurance that a contract shall be entered into as a result of this invitation. PHILIPPINE STATISTICS AUTHORITY REQUEST FOR QUOTATION Page 2</p><p>BID FORM</p><p>Compliance Item/s and specification/s Total Amount with Technical Unit Qty. Unit Price Specifications (minimum) (VAT inclusive) (please check) YES NO 2 TB Wireless Portable External Hard Drive pcs -5- ₱ ______₱ ______( ) ( ) ( ) ( ) Portable Type External Hard Drive ( ) ( ) Capacity: 2 TB ( ) ( ) Interface: WIFI, USB 3.0 ( ) ( ) Compatible OS: Windows ( ) ( ) Size: 127mm (L) x 89mm (W) x 21mm (H), 2.5 in ( ) ( ) Wight: 0.272 kg ( ) ( ) Warranty: One (1) year on parts and services ( ) ( ) ₱ ______2 TB Slim Portable External Hard Drive Pcs -40- ₱ ______( ) ( ) ( ) ( ) Portable Type External Hard Drive ( ) ( ) Form Factor: Slim Profile Design, 2.5 in ( ) ( ) Capacity: 2 TB ( ) ( ) Interface: USB 3.0 ( ) ( ) Compatible OS: Windows ( ) ( ) Size: 113mm (L) x 76mm (W) x 12.1mm (H) ( ) ( ) Wight: 0.15 kg ( ) ( ) Warranty: One (1) year on parts and services ( ) ( ) ₱ ______2 TB Solid State Hybrid Drive (SSHD) for Server pcs -8- ₱ ______( ) ( ) Desktop Type Hybrid Drive ( ) ( ) ( ) ( ) Form Factor: 3.5 in ( ) ( ) Capacity: 2 TB Interface: SATA Gbb/s ( ) ( ) Compatible OS: Windows Size: 146mm (L) x 101mm (W) x 26mm (H) Wight: 0.408 kg Warranty: One (1) year on parts and services </p><p>Other Requirements:</p><p>After having carefully read and accepted your Terms and Conditions. I/We quote you on the item at prices noted above.</p><p>Printed Name of authorized representative/Signature______</p><p>Position: ______</p><p>Name of Company ______</p><p>Address: ______Email Address: ______</p><p>Fax No. ______. Tel No.: ______Cellphone No.______</p><p>Date: ______PHILIPPINE STATISTICS AUTHORITY REQUEST FOR QUOTATION Page 2</p><p>BID FORM</p><p>Compliance Item/s and specification/s Total Amount with Technical Unit Qty. Unit Price Specifications (minimum) (VAT inclusive) (please check) YES NO Printer – Black Laser Jet Toner Cartridge Pcs -5- ₱ ______₱ ______( ) ( ) ( ) ( ) From Factor: Laserjet Type Printer ( ) ( ) Compatible OS: Windows ( ) ( ) Connectivity: High Speed USB 2.0, Wireless 802.11 b/g ( ) ( ) Dimension: 330mm (L) x 347mm (W) and 194mm (H) ( ) ( ) Wight: 4.7 kg ( ) ( ) Print Quality: True 600 x 600 dpi ( ) ( ) Resolution: FastRes 600 dpi (default) and FastRes ( ) ( ) (1200 dpi) Print Speed: 19 pages per min (letter), 18 pages (A4) ( ) ( ) Monthly Duty Cycle: up to 5,000 paper ( ) ( ) ( ) ( ) Power Requirement: 220V ( ) ( ) Warranty: one (1) year on parts and services ( ) ( ) ₱ ______₱ ______( ) ( ) HDMI 2.0 Cable (3x2m & 2x5m) pcs -5- ( ) ( ) Interface: HMDI 2.0 compatible with laptop HMDI ( ) ( ) End 1 Connector Type: HMDI ( ) ( ) End 2 Connector Type: HMDI ( ) ( ) Cable Type: HMDI </p><p>Cable Length: 6 Feet Function: Connect HMDI-enabled devices, compatible With laptop HMDI connection Warranty: one (1) year on parts and services </p><p>Other Requirements:</p><p>After having carefully read and accepted your Terms and Conditions. I/We quote you on the item at prices noted above.</p><p>Printed Name of authorized representative/Signature______</p><p>Position: ______</p><p>Name of Company ______</p><p>Address: ______Email Address: ______</p><p>Fax No. ______. Tel No.: ______Cellphone No.______</p><p>Date: ______PHILIPPINE STATISTICS AUTHORITY REQUEST FOR QUOTATION Page 2</p><p>BID FORM</p><p>Compliance Item/s and specification/s Total Amount with Technical Unit Qty. Unit Price Specifications (minimum) (VAT inclusive) (please check) YES NO USB Multiple Port – 4 ports with 2 rotatable ports pcs -15- ₱ ______₱ ______( ) ( ) ( ) ( ) Portable size, compact, & light weight design ( ) ( ) 2 USB port can be rotated 180 degress ( ) ( ) Allows simultaneous operating of up to 4 separated ( ) ( ) devices to each port Data transfer speed up to but not limited to 480 Mbps ( ) ( )</p><p>LED indicator can show USB power supply ( ) ( ) ( ) ( ) 4 ports interface for laptop or desktop Security assurance with overload protection to prevent ( ) ( ) damage ( ) ( ) Support plug and play an d hot swap function for ( ) ( ) ( ) ( ) every device connected Direct connection to computer without external power ( ) ( ) supply ( ) ( ) Compatible with USB 2.0, USB 1.1, USB 1.0 and ( ) ( )</p><p> other devices such as mobile hard disk, mobile ( ) ( ) phone, tablet, memory card reader, mouse, ( ) ( ) keyboard, and other USB devices ( ) ( ) No need to install any driver ( ) ( ) Supports Win ME/Vista/XP/2000/Win 7 & 8, and other ( ) ( ) OS version ( ) ( ) Warranty: One (1) year on parts and services ( ) ( )</p><p>Other Requirements:</p><p>After having carefully read and accepted your Terms and Conditions. I/We quote you on the item at prices noted above.</p><p>Printed Name of authorized representative/Signature______</p><p>Position: ______</p><p>Name of Company ______</p><p>Address: ______Email Address: ______</p><p>Fax No. ______. Tel No.: ______Cellphone No.______</p><p>Date: ______PHILIPPINE STATISTICS AUTHORITY REQUEST FOR QUOTATION Page 2</p><p>BID FORM</p><p>Compliance with Technical Item/s and specification/s Total Amount Unit Qty. Unit Price Specifications (minimum) (VAT inclusive) (please check) YES NO MP3 Recorder pcs -2- ₱ ______₱ ______( ) ( ) ( ) ( ) Built-in memory ( ) ( ) Built-in microphone: Monoaural ( ) ( ) Recording format: Hvxc/Mp3 ( ) ( ) Playback format: Hvxc/Mp3 ( ) ( ) Battery type: AAA x 2 ( ) ( ) Maximum number of files in one folder: 99 ( ) ( ) Input & output: headphone jack, microphone</p><p>Recording features: Low-cut filter, add/overwrite ( ) ( ) ( ) ( ) recording, recording monitor Maximum recording time: 21 hrs & 40 mins (192 kbps) ( ) ( ) ( ) ( ) Battery life for recording: 13 hrs. (192 kbps) ( ) ( ) Frequency response: 75-150,000 Hz (192 kbps) ( ) ( ) Playback features: digital pitch control, noise cut, easy ( ) ( ) Search, alarm playback Edit features: erase protect, divide, move file ( ) ( ) Speaker: 300mW output, 28mm size ( ) ( ) Dimension: 38.5 x 115.2 x 21.3 mm ( ) ( ) Weight: 72 g (including batteries) ( ) ( ) Warranty: One (1) year on parts and services Total amount in ( ) ( ) x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x words:______( ) ( ) ______For NCS-AFCD use ______</p><p>Other Requirements:</p><p>After having carefully read and accepted your Terms and Conditions. I/We quote you on the item at prices noted above.</p><p>Printed Name of authorized representative/Signature______</p><p>Position: ______</p><p>Name of Company ______</p><p>Address: ______Email Address: ______</p><p>Fax No. ______. Tel No.: ______Cellphone No.______</p><p>Date: ______</p>